The law is trying to repair the resource allocation of health care, while compensating quality of care over quantity of care. To accomplish this, they are creating incentives for combined models of care delivery and distributing funds for proficient and quality care (Haas, 2011). Accordingly, because nurses take on an elaborate role of patient care and outcomes, they must adapt to the restructured health care system (Haas, 2011). The rationale for this speech is to describe the anticipated shift in nursing practice and to examine the models of continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health care clinics. In addition to recognizing them as important contributors of primary care services, the PPACA acknowledges the prospective leadership responsibility for the advance practice registered nurse (APRN) in the innovative care system (U.S. Government Printing Office, 2013).
There were quiet a number of areas that were touched on. Below is an illustration of some of the specific areas in nursing that were touched on by the report and the impacts that they had on the nursing profession. Education There is the conventional understanding that for a nurse to attain the RN status, there is the need to have attained the right educational qualifications. The IOM Report (2010) asserted this fact but gave a deeper insight into the nursing education. Since the medical profession is constantly changing nurses need to receive continuing education and training.
Nursing Theorist Grid Use grid below to complete the Week 4-Nursing Theorists assignment. Please see the “Nursing Theorists’ Grading Criteria” document, located on the Materials page of the student Web site. Theorist Selected: Florence Nightingale Description of Theory: Nightingales theory encourages that maintaining the environment can directly and indirectly restore a patient’s health. Nightingale’s theory is explained as the environment, patient and the nurse interact with one another. She believed that the environment can in-directly and directly effect a patients health and it has great benefit on the healing process when controlled and managed to patient recovery Her theory encouraged collaboration and cooperation as the focus of the nurse-patient relationship.
There are a few delivery models in which the RN or APNP will utilize to accomplish what the PPACA sees as the future of health care. Let’s talk about them now. Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds both in both delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program (CMS, 2013).
DIVERSITY IN CULTURE (MI 307) MIDWIFERY LED UNIT This report will be focused on intrapartum care excluding the pre and postnatal period which could be considered in further experiences INTRODUCTION The purpose of this report is to compare the culture of midwifery practice between a midwifery led unit (MLU) and a consultant led unit (CLU). A review of the literature prior to visiting the MLU suggested a greater degree of clinical autonomy for the midwives working at the MLU. This contributes to their empowerment and satisfaction with the profession. However, after observing the culture of practice of both units it is the purpose of this report is to demonstrate that little differences exist in midwifery practice between the two settings. In doing so, the author will try to analyse the aspects that empower the midwife as well as how clinical autonomy is enabled in each setting.
Running head: INTEGRATION OF NURSING THEORY INTO PRACTICE 1 Integration of Nursing Theory Into Practice Denyse Collins University of South Alabama Running head: CROSS POST: THEORY BASED PRACTICE DISCUSSION Integration of Nursing Theory Into Practice 2 Nursing is a profession that constitutes both art and science. Carper described empirical, ethical, personal, and esthetic designs of nursing knowing to complete the framework of nursing knowledge (Chinn & Kramer, 2011). The advance practice nurse (APN) aspires to provide optimal care to patients by utilizing evidenced-based practice and a creative means of putting evidence-based practice into action. This essay will explore the pertinence of nursing theory to nursing practice, the role of the APN in decreasing the separation between theory and practice, and apply Jean Watson’s Caring Theory to the phenomenon of concern, patient care. APNs can facilitate the ability to practice both the art and science of nursing and reduce the chasm between theory and practice by using nursing theory as a foundation.
Not only does this involve improving the working conditions of nurses but also involves political advancement in terms of agendas, policies and regulations that affect the profession as a whole. While these pose challenges for the APN as a leader in her profession, another challenge as a leader is the maintaining of an evidence-based identity separate from the other medical professions through self-regulation, role development and goal-setting. Some of the challenges advanced practice nurses face as leaders is that pertaining to establishing a solid professional identity. Bryant-Lukosius, Dicenso, Browne and Pinelli (2004) identified significant issues in the establishment of advanced practice nurses as indispensable catalysts in patient care: “confusion about APN terminology, failure to define clearly the roles and goals, role emphasis on physician replacement/support, underutilization of all APN role domains, failure to address environmental factors that undermine the roles, and limited use of evidence-based approaches to guide their development, implementation and evaluation” (p. 1). As time passes and the professional identity of the advanced practice nurse becomes more prominent, especially in the face of sweeping health care changes, these issues will eventually be addressed
Management in Health Care (EBP) This assignment will aim to discuss the implementation of a nursing initiative, which could change practice. It will focus upon the process of change in relation to evidence-based practice. Then go on to discuss barriers to change, the role of change agents and how different management and leadership styles influence the change process. The implementation of research based evidence into nursing practice has long been recognised as an important issue. The aim of evidence based practice (EBP) being to help clinicians base their actions on best current evidence.
(Holland et al, 2008) This is a nursing diagnosis as opposed to a medical one. This needs to be achieved so that appropriate care can be planned. Problems maybe actual or potential. (Holland et al, 2008) Through planning there is a need to state goals or find desired outcomes for each problem/need. Goals need to be measurable, attainable, client centred, realistic, outcome written and short.
According to the Fundamentals of Nursing textbook, an advanced practice nurse (APN) is an umbrella term for an advanced clinical nurse that includes nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists, and nurse-midwifes. These people have advanced training in a specialized field of study. They also have a much greater deal of autonomy in their practice. For example, nurse practitioners are allowed to diagnose and treat patients independently and to prescribe certain medications. Licensure is something that is being looked at with some